Individual
ELIZABETH J IANNAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 496-7154
Mailing address
2100 BELL TOWER DR, CROWNSVILLE, MD 21032-2236
(410) 721-3525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001124410
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R143762
MD
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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